KELLY STARK

AMMON, ID
NPI1114343985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-33495)
Enumeration Date2014-03-17
Last Update Date2025-11-25
Business Address
KELLY STARK
2705 E 17TH ST
AMMON, ID 83406-6669
Phone number: 208-346-7500
Mailing Address
KELLY STARK
2705 E 17TH ST
AMMON, ID 83406-6669
Phone number: 208-346-7500
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